84
Management
Proceed with
cardioversion
(See section 10.9)
(2a)
Figure 21. Patients With Hemodynamically Stable AF Planned
for Cardioversion
Anticoagulate for at least 3–6 wk and repeat imaging
to confirm resolution of thrombus before cardioversion
(1)
Role of
pericardioversion
anticoagulation
uncertain
Therapeutic
pericardioversion
anticoagulation
may be considered
(2b)
No intracardiac thrombus noted intraop
and postop AF ascertained at <48 h
Imaging to assess adequacy
of occlusion and exclude
intracardiac thrombus
(including device-related
thrombus) before cardioversion
(2b)
Imaging to exclude
intracardiac
thrombus before
cardioversion
(See section 10.9)
(2a)
Not on AC
AF in postcardiac
surgery setting?
(See section 10.9)
Prior
LAAO?
Intracardiac
thrombus?
Does
imaging show
intracardiac
thrombus?
YES
YES
YES
NO
NO
YES
YES
YES
NO
NO
YES
NO
Does imaging
show residual
leak?
